9605-023 (PAT)I—
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9,(commencing with Section 7000) of Division 3 of the Business and
Professi • nals Code, and my License is in full force and effect.
Lice, se # Lic. Class Exp. Date
tt 70,1742
L ate Signature of ContractoF 11 �
OWNER -BUILDER DECLJ�4R�AT ON
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I,.as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with -licensed
contractors to construct the project (Sec. 7044; Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason .
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will maintain a certificate of consent to self -insure for workers'
compensation,- as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permitis issued.
( ) I have and.will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
.(This section need not be completed if the permit valuation is for $100.00.or less).
( ) I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of -S ction 3700 of the Labor
(bode, 11�I1.f ri with comply with. -those rovisions. �� k•
110 Date: `� iJ Applicant
Warning: Failure to secure Worke s' .ompens tion coverage is unlawful and
shall subject an employer to criminall`p nalties`anld civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each' person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall; indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
th above-mentioned property for inspectio 1purposes.
Signature (Owner/Agent) ate
PERMIT # CONTROL #
BUILDING PERMIT 3293
DATE -4 $I96 VALUATION $3,32«5.00 LOT TRACT
JOB SITE•'}{-' ill.IliEL MOVIE Cr APN 70-63Z-006ADDRESS
OWNER CONTRACTOR / DESIGNER / ENGINEER
H E & SAN,i RA DAViS WALTER CONS'1'RYJCT'1ON
78990 DEL ir4091."E Cf . 2745 VIA ESCU LA
LA QL[KrA C'.4. 922 PALM SPRINGS, CA 92262
(327)63,W CRUZ
USE OF PERMIT
r'ra' P'1t.)
[,ATf +>F.PArI y
USTl MA 1 C0 COST: OF (MVI S'4`RULwI'I ON 3,323.00
i�1,AN t`f I?rC ,.1 i?FS 1'0140439-:3143 520.95
f4� NSfrltLtL"i t0'IV i $ IS .101-000-418-000
:dT�iJ<� ►bit�'i.l�Ai' Fes• -1LC:;�Irl:3 10 �-a�i1-�� t.1}(}0 $.�
S1J0-4'(r.AL CONS!'f UC'I',(C)N,A:N1 t ALAN OEI {'I 111�.�i5
.ESS PR13-PArDPa:cs .ar)
'10T AL PYMMITFEF-S DUE NOW $J04AS,;-;:-
RECIIPT,/ /� DATE��` BY r/ BATEFINALED INSPECTOR
1
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVAL'S
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final.
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain .
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water; Piping
Plumbing Final
Plumbing Top Out.--'
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer. Connection":
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final .
Utility Notice (Perm)
COMMENTS:
RAFTER SIZE AND SPACI I A
14 D,G,
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE AT LEFT)
c.> p�k l o CavER
_LAILI _
2x O.C.
ROOF CH
Y
< >r �< ....... • •
<
CONTINUOUS LEDGER
HEAD SIZE
l
T AND 'L' STRAPS
I WITH I W
v
--�A4a__
=
(4)Irx6d NAI8
1 (4) 18d NAILS OR BOLT 1
RAFTER SPAN: _IL1 z
POST SPACING: 2'O O MAY
&
O.H. v
f0 ((
OVERALL LENGTH: a
_-
OVERALL LENGTH
Aj
( ll
D MIN. 4 x4" POSTS ;o
%. REAR SETBACK
SIDE SETBACK'
FINISH GRADE
2000 P.S.1 CONCRETE— L—
FINISH GRADE
6— MIN. tYx12' FOOTING 1 1 1
J
L_
12' BELOW GRADE (--J
UIf7� i�l/}irfl1�1�L �jQ2l�Ck �T �F�CG�
CD�1•n2- �(y' �Q If4oN�G-L cjll(�P��
PROVIDE 1" CLEAww
BETW EN AN
U-STRAP OR ANGLE
3/e z S LAG SCREWS INTO STUDS AT l6r O.C.
NON-CORROSNE PLATE
CONTINUOUS LEDGER
Y'
(4)- 16d NAILS
OR BOLT
U-STRAP OR ANGLE
I 6d MLS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAI
CITY F LA U I NTA
•
BUILDING �� ���.I"Ei`Y DEPARTMENT
ANCHOR BOLT (EMBED
7 MUT. INTO CONCRETE) PROVIDE 1POS'TT CLEARANCE
ND
ONCRETE
BUILDI.I,Gi..�DEPARTMEN ,\,.4 - uOt4�llV
TYPICAL PATIO COVER
PMT NUMBER
i T iNS T ALLATION AS PER
DATE APPLICATION
PE MT ISSUE DATE
OWN NAME
FlINSPECTION DATE
Ayp ALL APPLIGAoLE CODES
STREET ADDRESS
%-3-lq p am w-m
CONDITIONS
SPLAD
TTY, ZIP
laiG CC
TE
BY
E
H.OA APPROVAL SIGNATURE. DATE
fje RAFTER SIZE AND SPACI 1 N
)C 10 01C.
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE AT LEFT)
_
Qp�Nl AILICV Vii} ►o_ GoVER
' ROOF CH
_
CONTINUOUS LEDGER
H SIZE
I T AND 'L' STRAPS I
1 WITH
_
=
IL
I (4) 16d NAILS OR BOLT I
(4) 1Od
"
I14
RAFTER SPAN: 14 r7L
POST SPACING_
O.H. W
��J.I0 N a
O.H.
O
OVERALL LENGTH: _LL_v
OVERALL LENGTH
( II
MIN. 4'zr POSTS
%. REAR SETBACK SIDE SETBACK"
FINISH GRADE FINISH GRADE
2000 P.S.I CONCRETE — 6— MIN. 12'x1T FOOTING L_ J
L_ J
` 1Y BELOW GRADE
Ulbe Olh� vok_ Y212kCX AT Eft-Cff C g� Fv(y )NA-L- Cj1OD
PROVIDE 1" CLEARAN
BETH' EN
U-STRAP OR ANGLE
3/8' z 5 LAG SCREWS INTO STUDS AT 1 CO.C.
NON-CORROSNE PLATE �pE
CONTINUOUS LEDGER
i'
W- 16d NAILS
BOLT
U-STRAP OR ANGLE
�. ......... ... ..�
`
(4)— IOd NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NNL RAFTER TO L/OC,KING
�}�
'[ � ID Coves I5 EES ��'� "'���
BOLT (EMBED PROIADE 1' CLEARANCE
T- 5
MN. INTO CONCRETE) BETWEEN POST AND
CONCRETE
TYPICAL PATIO COVER
BUILDIN A E
PERM
NU
G & SAFETY D E PARTk II WE OF
L�►T*N
�
PER
ISSUE, DATE
CO P) I 1 10 NA LLy OWNERS
E
Fl INSPECTION
QA#,
SCE ' I ? D FOR COM�C..'TRI.JC TIC1i'..I STREET A+ESS
SPE
CONDITIONS
° t� 1I U lNS I A -AT1- f i CITY. ST
nP
COPY
AND Att APPtleAtff
H.OAPFkOVAL
SIGNATURE. DATE
' Bonded & Licensed Contractor
D94
t Pal
m e
C -27/C-53690775
Enterprises
Customer Pool & Spa Builders Gardening & Pool Services
& Landscape Contractors
28-070 Avenida Primavera, Cathedral City, CA 92234 (619) 325-2177
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